Cdiff prevalence in US facilities

By  |  November 20, 2008 | 

The Association for Professionals in Infection Control (APIC) has released a comprehensive prevalence survey on the state of Cdiff in US healthcare facilities (from 648 facilities in 47 states) (link). They found 13 / 1000 inpatients were infected or colonized with Cdiff (94% infected). Over half (54%) were detected in <48 hours of admission (indicating infection at the time of admission), 20% had no history of antibiotic exposure (and 17% only exposed to surgical prophylactic antibiotics), and over half (53%) still had diarrhea after 6 days of treatment. This prevalence survey reminds us to be vigilant for Cdiff in all inpatients with diarrhea (with or without a history of antibiotic use), and to be patient with its treatment course (over half still with symptoms at 6 days).

About the Author:

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.


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One Comment

  1. Jogesh Raja November 20, 2008 at 9:21 pm - Reply

    How much of this is related to indiscriminate use of Antibiotics? How much of this is related to unfounded use of PPI for GI prophylaxis in non critical patients?

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